HomeMy WebLinkAboutBuilding 02-0552
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4-93/
,e (/ T L.t~,O t::16
LEGAL DESCRIPTION (office use only)
LOT
)eL.5 -3
BLOCK
ADDITION
OWNER
(Name)
I /l135e. ~ L3/~;f./"""/
,
(Address)
'-~- 17-(}"L
White File I PERMIT NO I
Pink City . /11_ 'S 5 '"}
Yellow Applicant l/t/t ~ ,
.sTtc6b/
ZONING (office use)
/C/.s..D
PID 25 -oro4- - 003- 2..
(Phone)
'- S'2.2 0
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon)h.~rty t~ per~~r e e in!7ections.
X '" I , v,--.Av'~
Signature
o Misc.
Permit Valuation #ZooO,oo
Permit Fee $ 1n9.25
Plan Check Fee $ 45,0\
State Surcharge $ ',00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ f~1--
Building Official
51/~ Z-
ate
DAddition
DAlteration
DUtility Connection
Contractor's License No.
S~Q2-
ate
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
.
TOTAL DUE $~/IC;,LS
I ~;cjlf
"
4-Z65"9'
Paid
Date
/?!.....z~
--/7-cJt?_
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
whcn signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS if 93 I ft.<< r L e-D& ~ S'mf:::-"""b-r-
TYPE OF WORK J)~C-/L..
USE OF BUILDING e ES,.
PERMIT NO. 02- -- ~~Z-
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED 5//7/0 2--
.
BUILDER PHONE #95Z -'f7"~ - szzo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I 6r, I b /1 D/dt-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~.. ~ I I
I FINAL I ~ I I r~-OL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850